Mangafodipir (Teslascan (discontinued), PledOx)

Other Medications

US Experimental IV 3 Clinical Trials
Superoxide radicals reactive oxygen species

Description

Mangafodipir is a manganese-based contrast agent that serves as a neuroprotective compound in colorectal cancer treatment. It is specifically used as an adjunctive therapy to prevent oxaliplatin-induced peripheral neuropathy (OXAIPN) in patients receiving FOLFOX chemotherapy regimens. The drug functions as a selective antioxidant that protects normal tissues from chemotherapy-induced oxidative damage while preserving the anti-tumor efficacy of oxaliplatin-based treatments.

Mechanism of Action

Mangafodipir acts as a superoxide dismutase mimetic, catalyzing the dismutation of superoxide radicals to hydrogen peroxide and oxygen. The compound selectively accumulates in normal tissues rather than tumor cells, providing protective antioxidant activity against oxaliplatin-induced neurotoxicity without interfering with the platinum agent's cytotoxic effects on cancer cells.

Molecular Targets

Side Effects

Flushing Warmth sensation Metallic taste Nausea Headache Dizziness Injection site reactions Transient blood pressure changes

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT04034355 Phase 3
Archived
Preventive Treatment of OxaLiplatin Induced peripherAl neuRopathy in Adjuvant Colorectal Cancer
Belgium, Czechia, France, Germany, Italy, Japan, South Korea, Spain, Taiwan, Uni
NCT03654729 Phase 3
Archived
Preventive Treatment of Oxaliplatin Induced Peripheral Neuropathy in Metastatic Colorectal Cancer (POLAR-M)
United States, Belgium, Czechia, France, Germany, Hong Kong, Hungary, Italy, Jap
NCT00671996 Phase 2
Archived
Mangafodipir as an Adjunct to FOLFOX6 Chemotherapy in Colon Cancer Stage Dukes' C
Sweden